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1780263145
KENYATTA LEWIS
JACKSON, MS
NPI
1780263145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: MS M9161)
Enumeration Date
2021-04-05
Last Update Date
2021-04-05
Business Address
KENYATTA LEWIS
3545 MEADOW LN
JACKSON, MS 39212-4716
Phone number: 601-918-8712
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Mailing Address
KENYATTA LEWIS
3545 MEADOW LN
JACKSON, MS 39212-4716
Phone number: 601-918-8712
Copy
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